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Stephen Depirro , LD

Denturist β€’ Seaside, OR

Active NPI 1548760630 Individual Practitioner Male Practitioner
Practice location in NPPES

740 Avenue H Ste 2
Seaside, OR 971386603

Call 8339091050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

740 Avenue H Ste 2

Seaside, OR 971386603

Telephone 8339091050
Organization at the Same NPPES Address or Phone
The Smile Store, Llc Facility NPI 1629578539

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marysville, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Seaside and Oregon

1 active clinicians are listed under Denturist with a practice address in Seaside, OR (126 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

License # reported to NPPES WA DN-60139787

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Washington State Department Of Health
DN-60139787 (WA)
Other Identifier Oregon Department Of Health
DT-DO-10130609 (OR)

Secondary Practice Locations

1220 State Avenue, 1242-G

Marysville, WA 98270

Phone: 8339091050

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 17, 2018

Registered at 740 AVENUE H STE 2, SEASIDE, OR 971386603 (Tel: 8339091050)

πŸ“
Updated Business Mailing Address March 17, 2018

Registered at 5791 JADEITE AVE, ALTA LOMA, CA 917372264 (Tel: 2533708190)

πŸ‘€
Provider Name / Credentials Updated March 17, 2018

Recorded as STEPHEN DEPIRRO, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Denturist (license number reported to NPPES: WA DN-60139787)

βœ…
NPI Profile Active February 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 16, 2018

Registered at 740 AVENUE H STE 2, SEASIDE, OR 971386603 (Tel: 8339091050)

πŸ“
Business Mailing Address (Initial Record) February 16, 2018

Registered at 5791 JADEITE AVE, ALTA LOMA, CA 917372264 (Tel: 2533708190)

πŸ‘€
Provider Name / Credentials (Initial Record) February 16, 2018

Recorded as STEPHEN DEPIRRO, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2018

Denturist (license number reported to NPPES: WA DN-60139787)

🟒
Initial NPI Registration & Enumeration February 15, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548760630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2018
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

5791 Jadeite Ave

Alta Loma, CA 917372264

Phone: 2533708190

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.